Permit CITY OF TIGARD
A . �i�;� DEVELOPMENT SERVICES ELECTRICAL PERMIT — Hall Blvd., — 13125 Tigard, O (503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR97 -0197
DATE ISSUED: 07/15/97
PARCEL: 2S1O2AB -01901
SITE ADDRESS...:O935O SW TIGARD ST
SUBDIVISION •NO.TIGARDVILLE ADDITION AMEND. ZONING:I —P
BLOCK • LOT •55 JURISDICTN: TIG
Project Description : Add one protective signaling system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING.. :
BURGLAR ALARM • BOILER LANDSCAPE/ IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: °. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: °.
TOTAL # OF SYSTEMS: 1
Owner: FEES
KADEL' S AUTO CORP. type amount by date recpt
7350 SW TIGARD PRMT $ 40.00 GEO 07/15/97 97- 297128
TIGARD OR 97223 5PCT $ 2.00 GEO 07/15/97 97- 297128
Phone #:
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1974 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect'1 Final
Phone #: 223 -5822 Wall Cover
Reg #..: 000535
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -w You may obtain copies of
these rules or direct questions t 0 at (503)246-1987.
Issued by .tt /�lii�11A Permittee Signature
/ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUP R. ELEC' N: ) DATE : 7
LICENSE NO.
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
�a
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223
Phone PERMIT # F L/2..gq "O/
A
As /�ar,a
e )�il ";Ii It FAX (503) 6847 1 684-7297 DATE ISSUED
- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
MO Cw --% .
Addr�ss �� R ESIDENTIAL — Restricted Energy Fee $40.00
1 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ' ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
L ir° ❑ Heating, Ventilation and Air Conditioning System*
Contracto,IICCType {�U�I ❑ Vacuum Systems*
'cgs vi I l aL • LLS ,� � I
Address ❑ Other
Date ada a ` 'qv COMMERCIAL — Fee for each system $40.00
ti (SEE OAR 918- 260 -260)
Property Owner l I I, kJ/ W/ I
Check Type of Work Involved:
Contractor's Board Reg. No. 5" J ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# a - C aa ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ID Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks(*). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready 1 for inspection at 503- 639 -4175.
IA Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. * No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ i l O
authorized to bind the app 'cant.
Ai pis. J b. 5% Surcharge (.05 x total above) $ a
Signature � (
TOTAL $ l a
Authority if other than applicant
ENERGAP.CHP
RECEIVED
JUL 1:51997
COMMUNITY DEVELOPMENT
.- CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
4
r
Date Requested: 7 1 (� 11 A.M. P.M. MST:
Location: . L . I J BUP:
Tenant: / �2) 4i1 et ] S U • Suite: Bldg: MEC:
r�
Contractor: c� t / 1 L - P"rc. Phone: -C 3 ' 5 0 c;--- PLM:
Owner: Phone: ELC: 1
ELR: 7 -.)� 7
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRIC SITE
Site Post/Beam Post/Beam Post/Beam Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab �, n / `^
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt (s(/�, P)
Approved Approved Approved (Approve Approved
Appr /Sdwlk Not Approved Not Approved Not Approved NOt ved Not Approved
FINAL FINAL FINAL FINAL FINAL
fjL 1 ) 6 7 A w Sv / o
t--
Q..." (________
O Call for reinspection O Reinspection fee of $ ui red before next inspection O Unable to inspect
Inspector: Date: `� — ` J Page of
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